The document summarizes the P.I.E.R. project, which aimed to improve quality, productivity, and value of a mental health service experiencing staffing issues and low performance. The project formed a diverse focus group and developed an interactive, multilingual online health resource to promote early psychosis intervention, informed choice, empowerment, and community engagement. Milestones included reviewing evidence, developing consent forms and narratives/videos, and planning for dissemination. The goal was to improve access, outcomes, and cost efficiency through an inclusive, evidence-based, and collaborative approach.

1. P.I.E.R. P roactive I ntervention to E nhance R ecovery

2. Context Impact Project Milestones Conclusion 4 3 2 1 P.I.E.R

3. Brief Background February 2010 Team plagued with staff shortage, high rate of pt. admission, mediocre performance scores, low staff morale, low pt. satisfaction April 2010 - Taking a hard, long look The imperative was to improve quality & productivity and become a good value for money service How??

4. 1. Context Early Intervention In Psychosis Social movement focused on prevention not cure Psychosis No longer seen as an illness immune to treatment (Franz et al, 2010) Participatory Healthcare Diverse views lead to enhanced and more effective interventions leading to improved health outcomes (DH, 2004)

5. What is P.I.E.R? Emerging Leader Bursary funded (£10,000) project To produce online health resource (e-resource) Multi-lingual access to relevant and interactive information on illness & health Promote health, reduce stigma Convenient, 24/7 ‘ at your fingertips ’ access

6. Key Elements Collaborative – for clients – by clients – with clients Interactive – focused on two way conversations Responsive - evolving according to need Built on mutuality - respect of ‘ experts by experience ’ Community focused - involving third sector and education/employment agencies

7. Improved access Informed choice Empowerment Better outcomes Improved confidence Achievement Improved skill & proficiency Inclusive culture Evidence based Reduced delays > reduced admissions >cost efficiency Improved reputation Shared learning of good practice Evidence base Community engagement 2. Impact PatientsCarers NHS Staff Trust

8. In other words…

9. 3. Project Milestones Activity Progress May 2010 Formation of a diverse group made up of service users, carers & professionals (PIER Focus Group)  July 2010 Review of research evidence & literature on health 2.0  August 2010 Develop consent forms for recruiting to videos and case narratives  October 2010 Seek favourable ethical opinion and develop case narratives and videos  November 2010 Develop evaluation tool for narratives & videos for Review Group  March 2011 PIER website to go live. Planning for PIER Conference ☐ June 2011 PIER Conference & dissemination of report ☐

10. “ Online mechanisms are under utilized by both government and community organizations, and can provide appropriate and cost effective ways to engage young people from diverse backgrounds.” National Youth Affairs Research Scheme (2008) 4. Conclusion

11. References Department of Health (2004) Celebrating Our Cultures: Guidelines for Mental Health Promotion for Black and Minority Communities , London, Stationery Office Franz et al (2010) Stigma and Treatment Delay in First Episode of Psychosis: a Grounded Theory Study Early Intervention in Psychiatry (4) : 47-56 National Youth Affairs Research Scheme (2008) Re-writing the Rules for Youth Participation: Inclusion and Diversity in Government and Community Decision Making Omachanu & Gables (2010) Innovation in Health Care Delivery Systems: a Conceptual Framework. The Innovation Journal, 15 (1) 1 - 20

12. Thank You Twitter: @PIER_project